HomeMy WebLinkAboutZ-6445FO~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No..Z..6LAI+..~ ..... Date ............. Mr.y..6 ........ , 19.-7~'
THIS CERTIFIES that the building located at . .Illinois..Ave ............ Street
Map No. TOllYWo. o.d. Block No ........... Lot No...ptso£2~2~tl, O ~. ~.1 .... Mattituck N.Y.
conforms substantially to the ~~~~1~~~~~
code
occupancy
~a~e~t. be. fore..April. 2.~.., lO. ~7. pursuant to which ~~. Z6~i~..
dated ........... l~lay ... 6 .... , 19. F.~, was issued, and conforms to ail of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . I'r.i-vate .e~e..$ami.l.¥. d~e3t,ing. ~ith..garage- &. eecy-o..bl~ ........
The certificate is issued to .Geo. · Woodhull .&. W.$f.e... 0~mer~ .re. l~$ohael · ~nor~e & wife
(owner, lessee or tenant) new owners
of the aforesaid building.
Suffolk County Department of Health Approvai .pre~-..existing ...................
UNDERWRITERS CERTIFICATE No... pra.~exl~tin~ ...........................
HOUSE NUMBER .... £?.Q ...... Street .. 111inais. ;~e .........................
HOUSING CODE INSPECTION
May 5, 1975
~70 Illinois Ave. R-1
Mattituck, N. Y.
Sub. Div.
Tax Roil:
- Tollewood, #175
Lots: N- 1/3 #24 - N- 1/30 #25
S- 1/2 #40 - and #41
George T. Woodhull & Wf
Occupied
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of this one story framed
dwelling. I was admitted to building by Dick Woodhull and
began this inspection at approximately 1:10 P.M.
The building consists of two bedrooms, living room,
kitchen, bathroom, enclosed rear porch and an enclosed
front porch. Heat is supplied to all rooms except front
porch from an oil fired forced warm air furnace located
in partial full cellar; balance of foundation is crawl space.
The following violations of The~Housing Code, Chapter 52,
Town of Southold, were found.
Front porch entry, no means of controlling light
in room on entry, Article V, Section 52-56 B-2.
Water pump - electric hook-up to motor -
BX conductor with lamp cord two prong plug,
plugged into outlet, no ground connection.
Article V, Section 52-56 - A-1-3-5.
Accessory buildings consist of a utility building and a two
car garage with work shop, a full bathroom is in work shop
section accessible from garage.
Buildings and grounds are in good condition.
completed at approximately 1:35
EH:mm
Inspection
P.M.
Re~ect ful 1~ subm.it t ect ,
Bu±ld±n~ Inspector
FO~:"A NO, 6
TOWN OF SOUTHCLD
I~uildin9
Town Clerks O~fice
Sou?h~td, N. Y. ]t971
APPLICATION 70R C~RTt~ICAT~ OF OCCUPANCY
Jns~'ructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposals(S-9 farm or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
instollatlons, o certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of. completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings.
3. Dote of any housing Code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Dote May 1, 1975
New Building .................... Old or Pre-existing Building X Vacant Lend
Location Of Property .E/..S. illinois Avenue (Private road), off Westphalia Avenue,
..... ~'E 5Y~ 5'6~'; "'Lr&tV "T6~R ...............................................................................
Owner Or Owners Of Property GEORGE T...W.O. ODHULL and RUTHANNE WOODHULL, his wife
'(~'6' -~'~'"~' f~ h'gfi'i'"'J' :' "~'¥ ~'~fi~"'~'"W'i'~ 7 ............................................
5ubdivlsion ........................................................... ......Lot No .... Block No ............. House No, ........... '
Permit No ..................... Date Of Permit .................... Applicant ....................
Health Dept. Approval ............................................ Labor Dept. Approval ..................... : ..........................
Underwriters Approval ....~ ........................................ Planning Board Approval .......................................
Request For Temporary Certificate ' . ..... , Final Certificate . . .X.. ....
Fee Submitted $ ....5..'..9..0..~ ...................... p~'
Construction on above described building anal eJ~ll~r~'lLc~/ble codes and regulations.
...... ........... : ..............................
Wickham & Lark, P.C., &ttys. for George T.
Sworn to before me this Woodhull & Wife
(stamp orseal)
~o~: ~e~ - O~ne~ o~ prem±ses.
Closing - 5/8/75.
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